When assessing a patient's tracheostomy site, the nurse notes redness and inflammation around the stom
a. Which intervention can the nurse provide to address this problem?
a. Decrease the frequency of tracheostomy care.
b. Apply a dry gauze dressing just under the stoma.
c. Remove the ties at frequent intervals.
d. Apply a topical antibacterial solution and allow it to dry.
D
Apply a topical antibacterial solution and allow it to dry. Increase the frequency of tracheostomy care. Apply a hydrocolloid or transparent dressing just under the stoma to protect the skin from breakdown. Consult with a skin care specialist. Adjust the ties or apply new ones when the ties are loose or tight. Never remove the ties.
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A patient is scheduled for a cardiac catheterization this afternoon. The nurse wants to provide her with some basic information before going in the room to talk about her specific procedure
Which teaching strategy is most appropriate for this situation? a. Discussion c. Audiovisual media b. Demonstration and practice d. Written
4 fluid oz = _____ Tbsp
a. 8 b. 2 c. 12 d. 16
Several weeks after a stroke, a 50-year-old male patient has impaired awareness of bladder fullness, resulting in urinary incontinence. Which nursing intervention will be best to include in the initial plan for an effective bladder training program?
a. Limit fluid intake to 1200 mL daily to reduce urine volume. b. Assist the patient onto the bedside commode every 2 hours. c. Perform intermittent catheterization after each voiding to check for residual urine. d. Use an external "condom" catheter to protect the skin and prevent embarrassment.
The nurse notes that a narcotic is to be administered "per epidural cath." The nurse; however, does not know how to perform this procedure. Which aspect of the implementation process should be followed?
1. Seek assistance 2. Reassess the client 3. Use interpersonal skills 4. Critical decision making